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Development of the Hybrid Clinical Practicum Environment Scale for Nursing Students: Seoyoung Yoon, Hye-Ah Yeom; J Korean Acad Nurs 2024;54(3):340-357. Published online August 31, 2024; DOI: https://doi.org/10.4040/jkan.24016

Abstract PDF

Purpose
This study aimed to develop a Hybrid Clinical Practicum Environment Scale for Nursing Students (HCPES-NS) and verify its validity and reliability.
Methods
The HCPES-NS was constructed following the DeVellis guidelines. The initial items were written based on a literature review and individual in-depth interviews. Content validity was verified through an expert panel review. To confirm the validity and reliability of the scale, a survey was conducted with 449 nursing students enrolled in 12 nursing colleges. Data were analyzed using item analysis, exploratory factor analysis, confirmatory factor analysis, concurrent validity, and reliability tests.
Results
Factor analysis showed that the HCPES-NS consists of 15 items on five subdomains: clinical site atmosphere, interpersonal relationship, alternative online practicum contents, provision of learning information, and clinical performance facilitation. A higher score indicated a more positive perception of the clinical practicum environment. The concurrent validity of the HCPES-NS was confirmed by its positive correlation with the Clinical Learning Environment Scale (r = .77). The Cronbach’s α reliability of the HCPES-NS was .84.
Conclusion
The HCPES-NS is both valid and reliable. This scale reflects the clinical practicum environment and includes an online practicum factor. It may be used effectively by faculty members and educators to evaluate nursing students’ perceptions of clinical practicum environments.

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Environmental and Individual Factors Associated with Clinical Practice Stress in Korean Nursing Students: A Scoping Review
Ui Rim Song
Korean Journal of Adult Nursing.2025; 37(4): 355. CrossRef

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Development of Nursing Clinical Judgment Scale: Shi Nae Kwon, Hyojung Park; J Korean Acad Nurs 2023;53(6):652-665. Published online December 31, 2023; DOI: https://doi.org/10.4040/jkan.23042

Abstract PDF

Purpose
This study aimed to develop a nursing clinical judgment scale (NCJS) and verify its validity and reliability in assessing the clinical judgment of nurses.
Methods
A preliminary instrument of the NCJS comprising 38 items was first developed from attributes and indicators derived from a literature review and an in-depth/focus interview with 12 clinical nurses. The preliminary tool was finalized after 7 experts conducted a content validity test based on a data from a preliminary survey of 30 hospital nurses in Korea. Data were collected from 443 ward, intensive care unit, emergency room nurses who voluntarily participated in the survey through offline and online for the verification of the construct validity and reliability of the scale.
Results
The final scale comprised 23 items scored on a 5-point Likert scale. Six factors – integrated data analysis, evaluation and reflection on interventions, evidence on interventions, collaboration among health professionals, patient-centered nursing, and collaboration among nurse colleagues – accounted for 64.9% of the total variance. Confirmatory factor analysis supported the fit of the measurement model, comprising six factors (root mean square error of approximation = .07, standardized root mean square residual = .04, comparative fit index = .90). Cronbach’s α for all the items was .92.
Conclusion
The NCJS is a valid and reliable tool that fully reflects the characteristics of clinical practice, and it can be used effectively to evaluate the clinical judgment of Korean nurses. Future research should reflect the variables influencing clinical judgment and develop an action plan to improve it.

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How the nursing work environment moderates the relationship between clinical judgment and person-centered care among intensive care unit nurses
Mi Hwa Seo, Eun A. Kim, Hae Ran Kim, Mohammad Jamil Rababa
PLOS ONE.2025; 20(1): e0316654. CrossRef
Effects of Critical Thinking Disposition, Clinical Judgement, and Nurse–Physician Collaboration on Triage Competency Among Triage Nurses
Ji-Won Song, Hyung-Ran Park
Healthcare.2025; 13(4): 405. CrossRef
Effectiveness of a virtual reality nursing simulation for pediatric pneumonia care: a Korean pilot study using a single-group pre-post test design
Eun Joo Kim, Seong Kwang Kim, Sung Sook Song
Child Health Nursing Research.2025; 31(4): 198. CrossRef
The Influence of Clinical Nurses' Clinical Judgment, Nursing Work Environment and Ethical Nursing Competence on Patient Safety Nursing Activities
Eunseo Hong, Hyojung Park
Journal of Korean Public Health Nursing.2025; 39(3): 368. CrossRef

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Development of a Reward Scale for Hospital Nurses: Sun Hee Kim, Eun-Young Kim; J Korean Acad Nurs 2023;53(5):525-537. Published online October 31, 2023; DOI: https://doi.org/10.4040/jkan.23057

Abstract PDF

Purpose
This study aimed to develop and test a reward scale for hospital nurses.
Methods
The initial items were identified through a literature review and focus group interviews with ten hospital nurses. The content validity of the items was evaluated by ten experts. Fifty-one items were derived from the pilot survey. Four hundred eighty-eight nurses participated in the study: 248 for exploratory factor analysis (EFA) and 240 confirmatory factor analysis (CFA). Data were analyzed using item analysis, EFA, CFA, convergent validity, known-group validity, and internal consistency using IBM SPSS Statistics 29.0 and IBM SPSS AMOS 29.0.
Results
The final scale consisted of 31 items and eight factors (decent wage, opportunity to grow and develop, support for special situations, various benefits, flexibility of work, job-related achievement, reflecting career and performance, and recognition), which explained 67.3% of the total variance. The eight-subscale model was validated by CFA. Convergent validity was evaluated by analyzing correlation with intention to leave (r = - .63, p < .001) and job satisfaction (r = .54, p < .001). The known-group validity was evaluated by comparing the reward scales according to age, clinical career, income level and hospital type. The scale was found to be reliable with a Cronbach’s α of .89.
Conclusion
Both the validity and reliability of the reward scale for hospital nurses are verified, which can enhance the understanding of the range of rewards and may assist nurse managers in establishing an effective reward system.

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Optimized nursing management in the Central Sterile Supply Department and Gastroenterology Department: a retrospective controlled study
Dali Wang
American Journal of Translational Research.2024; 16(12): 7480. CrossRef

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Development and Validation of a Dignity in Care Scale of Terminally Ill Patients for Nurses: Yun Sil Ahn, Pok Ja Oh; J Korean Acad Nurs 2023;53(3):340-358. Published online June 30, 2023; DOI: https://doi.org/10.4040/jkan.23039

Abstract PDF

Purpose
This study aimed to develop an instrument to showcase Dignity in Care of Terminally Ill Patients for Nurses and to examine its validity and reliability.
Methods
A total of 58 preliminary items on dignity in care of terminally ill patients for nurses were selected using content validity analysis and expert opinions on 97 candidate items derived through a literature review and qualitative focus group interviews. Questionnaires were administered to 502 nurses caring for terminally ill cancer patients at hospice and palliative care institutions. The data were analyzed using item analysis, exploratory and confirmatory factor analysis, convergent and discriminant validity, and Pearson correlation for criterion validity, reliability was tested using Cronbach’s alpha.
Results
The final instrument consisted of 25 items, with four factors identified through confirmatory factor analysis. Four factors-ethical values and moral attitudes, interaction-based communication, main-taining comfort, professional insight and competence–accounted for 61.8% of the total variance. Cronbach’s ⍺ for total items was .96, and test-retest reliability of intraclass correlation coefficient was .90.
Conclusion
Since its validity and reliability have been verified through various methods, the Dignity in Care Scale of Terminally Ill Patients for Nurses can be used for develop nursing interventions and improve dignity in care of terminally ill patients.

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Cultural adaptation and psychometric validation of the Korean version of the Intensive care unit Dignified Care Questionnaire (IDCQ)
Sejin Kang, So Hyun Park, Youn-Jung Son
BMC Nursing.2026;[Epub] CrossRef
Development and Psychometric Testing of the Nurses’ Professional Dignity Scale
Michela Piredda, Maddalena De Maria, Rosario Caruso, Anna Marchetti, Giorgia Petrucci, Anna Cerra, Joyce J. Fitzpatrick, Alessandro Stievano
Nursing Reports.2025; 15(4): 127. CrossRef
Concept Analysis of Compassionate Care among Nurses: A Hybrid Model
Ae Kyung Chang, Jin Ah Kim, Yu Kyung Jin, Woo Jung Hong, Yeon Kyung Cho, Ah Young Kim
Journal of Korean Academy of Fundamentals of Nursing.2025; 32(2): 275. CrossRef
Dignity in Care of Older Patients with Cancer in Korea: A Hybrid Model Concept Analysis
Yun Sil Ahn, Pok-Ja Oh, Gye Jeong Yeom
Healthcare.2025; 13(22): 2935. CrossRef
Development and Validation of a Dignity in Care Scale of Terminally Ill Patients for Nurses
Yun Sil Ahn, Pok Ja Oh
Journal of Korean Academy of Nursing.2023; 53(3): 340. CrossRef

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The Reliability and Validity of the Korean Version of the 5C Psychological Antecedents of Vaccination Scale: SuYeon Bae, HeeJu Kim; J Korean Acad Nurs 2023;53(3):324-339. Published online June 30, 2023; DOI: https://doi.org/10.4040/jkan.23021

Abstract PDF

Purpose
This study aimed to valuate the reliability and validity of the Korean version of the 5C Psychological Antecedents of Vaccination (K-5C) scale.
Methods
The English version of the 5C scale was translated into Korean, following the World Health Organization guidelines. Data were collected from 316 community-dwelling adults. Content validity was evaluated using the content validity index, while construct validity was evaluated through confirmatory factor analysis. Convergent validity was examined by assessing the correlation with vaccination attitude, and concurrent validity was evaluated by examining the association with coronavirus disease 2019 (COVID-19) vaccination status. Internal consistency and test-retest reliability were also evaluated.
Results
Content validity results indicated an item-level content validity index ranging from .83 to 1, and scale-level content validity index, averaging method was .95. Confirmatory factor analysis supported the fit of the measurement model, comprising a five-factor structure with a 15-item questionnaire (RMSEA = .05, SRMR = .05, CFI = .97, TLI = .96). Convergent validity was acceptable with a significant correlation between each sub-scale of the 5C scale and vaccination attitude. In concurrent validity evaluation, confidence, constraints, and collective responsibility of the 5C scale were significant independent predictors of the current COVID-19 vaccination status. Cronbach’s alpha for each subscale ranged from .78 to .88, and the intraclass correlation coefficient for each subscale ranged from .67 to .89.
Conclusion
The Korean version of the 5C scale is a valid and reliable tool to assess the psychological antecedents of vaccination among Korean adults.

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COVID-19 vaccine acceptance and 5C psychological antecedents amid the omicron surge in South Korea and China
Minjung Lee, Chenyuan Qin, Yubin Lee, Jie Deng, Myoungsoon You, Jue Liu
Vaccine.2025; 43: 126515. CrossRef
Comparative effectiveness of construal-level messaging in the COVID-19 Vaccine Injury Compensation Program in the Republic of Korea: a randomized controlled trial
Jihyun Moon, Se-Hoon Jeong, Young June Choe, Cho Ryok Kang, Taemi Kim, Dooyoung Kim, Jong-Koo Lee
Osong Public Health and Research Perspectives.2025; 16(5): 486. CrossRef
Discriminative Cut-Offs, Concurrent Criterion Validity, and Test–Retest Reliability of the Oxford Vaccine Hesitancy Scale
Jonathan Kantor, Samantha Vanderslott, Michael Morrison, Robert C. Carlisle
Vaccines.2025; 13(12): 1200. CrossRef

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Development and Psychometric Evaluation of the Ischemic Stroke Distress Scale (ISDS): Jaejin Kang, Yang-Sook Yoo; J Korean Acad Nurs 2023;53(1):12-27. Published online February 28, 2023; DOI: https://doi.org/10.4040/jkan.22090

Abstract PDF: Purpose
This study aimed to develop a scale to measure distress in patients with ischemic stroke and verify its validity and reliability.
Methods
Preliminary items were developed from literature review and in-depth interviews. The final preliminary scale was confirmed through a content validity test of eight experts and a preliminary survey of 10 stroke patients. The participants for psychometric testing were 305 stroke patients in the outpatient clinic. Validity and reliability analyses included item analysis, exploratory and confirmatory factor analysis, convergent validity, known-group validity, and internal consistency of the scale.
Results
The final scale consisted of 17 items and 3 factors. The three distinct factors were ‘self-deprecation, worry about future health, and withdrawal from society’ and this structure was validated using a confirmatory factor analysis. Convergent validity was supported by comparison with the Center for Epidemiologic Studies Depression Scale (r = .54, p < .001) and Brief Illness Perception Questionnaire (r = .67, p < .001). Known-groups validity was verified by dividing groups according to ‘duration since diagnosis’ (t = 2.65, p = .009), ‘presence of sequela’ (t = 10.16, p < .001), and ‘awareness of distress’ (t = 12.09, p < .001). The internal consistency of the scale using Cronbach’s α for the total items was .93.
Conclusion
The Ischemic Stroke Distress Scale is a valid and reliable tool that reflects stroke distress effectively. It is expected to be used as a basic tool to develop various intervention strategies to reduce distress in ischemic stroke patients.

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The Reliability and Validity of Korean Version of the Infertility Stigma Scale (K-ISS): Miok Kim, Minkyung Ban; J Korean Acad Nurs 2022;52(6):582-597. Published online December 31, 2022; DOI: https://doi.org/10.4040/jkan.22068

Abstract PDF

Purpose
This study aimed to translate the Infertility Stigma Scale (ISS) into Korean and to evaluate its reliability and validity in the Korean context.
Methods
Data were collected from 350 women who underwent in vitro fertilization (IVF). Data were analyzed using SPSS WIN 25.0 and AMOS 22.0. Content validity was analyzed using the item-level content validity index (I-CVI) and scale-level content validity index/averaging (S-CVI/Ave). The preliminary survey was conducted on 20 women who had experienced IVF at least once to check the level of understanding of the tool and the time required to fill out the questionnaire. Exploratory and confirmatory factor analyses were used to test construct validity. Additionally, hypothesis-testing construct validity were tested. Cronbach’s α was used to assess the reliability.
Results
The Korean-ISS (K-ISS) consists of 25 items, excluding two items from the original ISS questionnaire. Exploratory factor analysis identified four factors, which explained 75.6% of the total variance. The four distinct factors were infertility stigma with self-devaluation (56.8%), public stigma (8.1%), social withdrawal (6.5%), and family stigma (4.2%). In the confirmatory factor analysis, the 25 items in the four-factor structure were validated (χ² /df ≤ 3, RMSEA ≤ 10). The hypothesis-testing construct validity of K-ISS against FPI (r = .58∼.71, p < .001) and FQI (r = - .49∼- .65, p < .001) was tested and found to be significant. The internal consistency reliability of the K-ISS, assessed using Cronbach’s α, was .97.
Conclusion
The K-ISS has satisfactory construct validity and reliability; therefore, it can help minimize the negative impact of stigma by measuring the stigma associated with women experiencing infertility.

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Effects of Uncertainty on Depression in Women Undergoing Assisted Reproductive Technology: The Mediating Role of Perceived Stigma and the Moderated Mediation by Spousal Support
Miok Kim
Nursing & Health Sciences.2026;[Epub] CrossRef
Development and validation of the infertility stigma scale short form (ISS-SF): A cross-sectional study
Rong Li, Lan Luo, Nan Qin, Minhui Guan, Enuo Peng, Jia Qu, Guangpeng Wang, Shujuan Zhu, Dan Liu, Shuju Wei, Bing Fu, Jun Lei
Journal of Psychosomatic Research.2025; 194: 112160. CrossRef

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The Validity and Reliability of the Korean Version of Readiness for Practice Survey for Nursing Students: Tae Wha Lee, Yoonjung Ji, Yea Seul Yoon; J Korean Acad Nurs 2022;52(6):564-581. Published online December 31, 2022; DOI: https://doi.org/10.4040/jkan.22032

Abstract PDF

Purpose
This study aimed to evaluate the validity and reliability of the Korean version of the Readiness for Practice Survey (K-RPS).
Method
The English Readiness for Practice Survey was translated into Korean using the Translation, Review, Adjudication, Pretesting, and Documentation (TRAPD) method. Secondary data analysis was performed using the dataset from the New Nurse e-Cohort study (Panel 2020) in South Korea. This study used a nationally representative sample of 812 senior nursing students. Exploratory and confirmatory factor analyses were also conducted. Convergent validity within the items and discriminant validity between factors were assessed to evaluate con-struct validity. Construct validity for hypothesis testing was evaluated using convergent and discriminant validity. Ordinary α was used to assess reliability.
Results
The K-RPS comprises 20 items examining four factors: clinical problem solving, learning experience, professional responsibilities, and professional preparation. Although the convergent validity of the items was successfully verified, discriminant validity between the factors was not. The K-RPS construct validity was verified using a bi-factor model (CMIN/DF 2.20, RMSEA .06, TLI .97, CFI .97, and PGFI .59). The K-RPS was significantly correlated with self-esteem (r = .43, p < .001) and anxiety about clinical practicum (r = - .50, p < .001). Internal consistency was reliable based on an ordinary α of .88.
Conclusion
The K-RPS is both valid and reliable and can be used as a standardized Korean version of the Readiness for Practice measurement tool.

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Readiness for Practice among Senior Nursing Students in South Korea: A Cross-sectional Study
Jihye Kim, Kyungmi Lee, Hye Suk Jun
Journal of Korean Academy of Nursing Administration.2025; 31(1): 54. CrossRef
Readiness for Practice Among Nursing College Graduates: A Cross-Sectional Correlation Study
Kim Jihye, Lee Kyungmi
SAGE Open Nursing.2025;[Epub] CrossRef
The Moderating Effect of Grit on Nursing Education Satisfaction and Readiness for Practice Among Nursing Graduates During COVID-19: A Cross-Sectional Study
Lee Kyungmi, Kim Jihye
Pacific Rim International Journal of Nursing Research.2025; 29(4): 862. CrossRef
The influence of nursing informatics competency, clinical practice self efficacy, and grit on clinical practice readiness of nursing students
Hae Ok Kim
The Journal of Korean Academic Society of Nursing Education.2025; 31(4): 440. CrossRef
The mediating effect of transition shock on the relationship between readiness for practice and turnover intention of new graduate nurses in South Korea: A longitudinal study
Taewha Lee, Eunkyung Kim, Yoonjung Ji
Nurse Education Today.2024; 143: 106394. CrossRef

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Validity and Reliability of the Korean Version of the Couple Satisfaction Index: Suk-Sun Kim, Minji Gil, Daeun Kim, Sunhai Kim, Dayeon Heo, Nan Young Moon; J Korean Acad Nurs 2022;52(2):228-227. Published online April 30, 2022; DOI: https://doi.org/10.4040/jkan.21177

Abstract PDF

Purpose
The study aimed to translate the Couple Satisfaction Index (CSI 32) into Korean, to evaluate the reliability and validity of CSI 32 and short-form (CSI 16, 4) in the Korean context, and to determine a cut-off score for Korean couples.
Methods
Korean Versions of the Couple Satisfaction Index (K-CSI) 32 was translated, back-translated, and reviewed by five bilingual experts. Confirmatory factor analysis (CFA) was conducted with data from a sample of 218 couples (N = 436) to test construct validity. Validity and reliability were evaluated. The receiver’s operating characteristics curve analysis was used to obtain the cut-off score.
Results
The construct validities of K-CSI 32, 16, and 4 were verified using one-factor structures. The results of CFA showed a slightly better fit for K-CSI 16 and 4 than for K-CSI 32. Convergent validity was supported by significant positive correlations of K-CSI with Kansas Marital Satisfaction Scale, Dyadic Adjustment Scale, and Family Relationship Assessment Scale. Moreover, the significant differences in K-CSI between normal and depressive group demonstrated known-group validity. Cut-off scores of 105.5 on K-CSI 32, 50.25 on K-CSI 16, and 13.25 on K-CSI 4 were validated to identify distressed couple relationships.
Conclusion
For clinical practice, the reliable and valid K-CSI 32 has the potential to measure changes in couple satisfaction after couple therapy or interventions. Applying K-CSI 32 may facilitate research on couple and family relationships in nursing and contribute to the discussion on the role of couple satisfaction in mental health.

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Mediating Effects of Parental Family Adaptation on the Quality of Life of Children With Down Syndrome: A Study of Father–Mother Dyads
Seung Hyeon Yang, Chang Gi Park, Eun Kyoung Choi
Journal of Advanced Nursing.2025;[Epub] CrossRef
Online coaching blended couple‐oriented intervention for preventing depression among Korean middle adulthood: A feasibility study
Minji Gil, Suk‐Sun Kim, Daeun Kim, Sunhai Kim
Family Process.2023; 62(4): 1478. CrossRef

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The Development of a Tool for Assessment of Spiritual Distress in Cancer Patients: Jin Sook Kim, Il-Sun Ko, Su Jin Koh; J Korean Acad Nurs 2022;52(1):52-65. Published online February 28, 2022; DOI: https://doi.org/10.4040/jkan.21120

Abstract PDF

Purpose
This study was conducted to develop a scale to measure spiritual distress in cancer patients.
Methods
A total of 69 preliminary items for the spiritaul distress assessment tool (SDAT) were compiled, based on a literature review, selection of empirically relevant items through concept analysis of hybrid models, confirmation of content validity by experts, cognitive interviews, and a pretest. Self-administered questionnaires were collected between April 1 and July 31, 2018, from 225 cancer patients at four medical institutions and one nursing home. The data were analyzed using item analysis, exploratory factor analysis, convergent and discriminant validity, and Pearson correlation for criterion validity. Reliability was tested by Cronbash’s α coefficient.
Results
The final version of the SDAT consisted of 20 items. Five-factors, loss of peace, burden of family, avoidance of confronting death, guilt and remorse, regret for not being able to apololgize and forgive were extracted, and showed 62.8% of total variance. The factors were confirmed through convergent and discriminant validity. Criterion validity was confirmed by functional assessment chronic illness therapy spiritual well-being scale 12 (FACIT-Sp12). The overall Cronbach’s α was .91, and the coefficients of each subscale ranged from .78~.83.
Conclusion
The SDAT for cancer patients is valid and reliable. It is suggested that the tool can be used to measure spiritual distress in cancer patients.

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Development of a measurement of doctor-patient communication quality scale
Jiayi Shao, Minhui Wen, Yuqing Zhang, Liping Zhang, Jiangjie Sun
Frontiers in Public Health.2025;[Epub] CrossRef
Validity and reliability of the integrated palliative care outcome scale (IPOS) in Korea: a multicenter study of terminally ill cancer patients
So-Jung Park, Yujin Park, Mira Han, Sun-Hyun Kim, In Cheol Hwang, Go-un Woo, Yoo Jeong Lee, Young Sung Kim, Hyun Jung Jho, Yoon Jung Chang
BMC Palliative Care.2024;[Epub] CrossRef
Family caregivers’ perceived value of caring for older patient: A hybrid model of concept analysis
Seon-Hye Heo, Hye-Ryoung Kim
Journal of Korean Gerontological Nursing.2023; 25(2): 152. CrossRef
Spiritual Distress in Patients with Dyspnea: A Review of Measurement Tools
Leah McCann Klug
Illness, Crisis & Loss.2023; 31(4): 736. CrossRef

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Validity and Reliability of the Turkish Version of the COVID Stress Scale: Demirgöz Bal Meltem, Dişsiz Melike, Bayri Bingöl Fadime; J Korean Acad Nurs 2021;51(5):525-536. Published online October 31, 2021; DOI: https://doi.org/10.4040/jkan.21106

Abstract PDF

Purpose
The aim of this study was to assess the Turkish adaptation of the COVID Stress Scale (CSS) on the basis of determining the stress caused by the coronavirus disease (COVID-19) pandemic, and to test its validity and reliability.
Methods
The English CSS was translated into Turkish using forward and backward translation. Data were collected online from 360 participants. Construct validity was evaluated using confirmatory factor analysis, exploratory factor analysis, and content validity. Pearson product-moment correlation, Cronbach’s alpha reliability coefficient, and test-retest methods were used to evaluate reliability.
Results
The Turkish version of the CSS has 36 items consistent with the original scale and has five factors: COVID danger and contamination, socioeconomic consequences of COVID, COVID xenophobia, traumatic stress due to COVID, and compulsive checking for COVID. The construct validity of the Turkish version of the CSS was verified by the adjusted goodness of fit index > .85, and comparative fit index > .95. The content validity index of each item was 91%. The corrected item-total correlations of the scale ranged from .51 to .89. Internal consistency was reliable, with a Cronbach’s α of .93.
Conclusion
The Turkish version of the CSS is valid and reliable. It can be used as a measurement tool for the assessment of COVID-related stress.

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Digital equity in nursing research: A methodological review of nursing studies requiring internet connection
Matthew S. Farmer, Drew Herbert, Christa Torrisi, Arthur Zacharjasz, Gerard Castaneda, Takara Schomberg, Michelle Dardis, Nicole Montgomery, Mary E. Melvin
Nursing Outlook.2026; 74(1): 102667. CrossRef
Psychometric evaluation and item response theory analysis of the COVID Stress Scales in an older adult population
Kylie A. Arsenault, Ying C. MacNab, Gordon J. G. Asmundson, Thomas Hadjistavropoulos
Aging & Mental Health.2025; 29(4): 726. CrossRef
The long-term impact of the covid-19 pandemic on patients with obsessive–compulsive disorder
Büşra Uçar Bostan, Cana Aksoy Poyraz, Beril Kara Esen, Nazife Gamze Usta Sağlam
Medicine.2025; 104(7): e41562. CrossRef
Is there evidence for factorial invariance of the COVID Stress Scales? an analysis of North American and cross-cultural populations
Blake A. E. Boehme, Laura Kinsman, Steven Taylor, Gordon J. G. Asmundson
Frontiers in Psychiatry.2024;[Epub] CrossRef
Psychometric properties of a brief version of the COVID‐19 Stress Scales (CSS‐B) in young adult undergraduates
Tabatha Thibault, Kara Thompson, Matthew Keough, Marvin Krank, Patricia Conrod, Mackenzie Moore, Sherry H. Stewart
Stress and Health.2023; 39(1): 154. CrossRef
Pandemi Sonrası Yoğun Bakım Hemşirelerinde Covid-19 Stres Düzeyinin Belirlenmesi
Elif PAKLACI, Elif KAYA AYDOĞDU, Besey ÖREN
Yoğun Bakım Hemşireliği Dergisi.2023; 27(3): 138. CrossRef
Initial translation and validation of the Brief Version of the COVID-19 Stress Scales (CSS-B)
Razieh Bandari, Majideh Heravi- Karimooi, Mahsa Tebyanian, Hossein Shahcheragh
Payesh (Health Monitor) Journal.2023; 22(5): 617. CrossRef
Does COVID-19 related symptomatology indicate a transdiagnostic neuropsychiatric disorder? - Multidisciplinary implications
Sari Goldstein Ferber, Gal Shoval, Gil Zalsman, Aron Weller
World Journal of Psychiatry.2022; 12(8): 1004. CrossRef
The adaption of the Chinese version of the COVID Stress Scales as a screening instrument of stress: Psychometric properties during the COVID-19 pandemic
Lu Xia, Qiaoping Lian, Haibo Yang, Daxing Wu
Frontiers in Public Health.2022;[Epub] CrossRef

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Validity and Reliability of Korean Version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale: Sook-Nam Kim, Hyun-Ju Lee, So-Young Kim, Nayoon Lee; J Korean Acad Nurs 2021;51(5):617-629. Published online October 31, 2021; DOI: https://doi.org/10.4040/jkan.21069

Abstract PDF

Purpose
The aim of this study was to examine the validity and reliability of the Korean version of the self-efficacy for managing chronic disease 6-item scale (SECD-6-K).
Methods
The English version of the Self-Efficacy for Managing Chronic Disease 6-item Scale first underwent forward and backward translation procedures. The SECD-6-K was then used to collect data from 350 adults diagnosed with chronic diseases. Content, construct, convergent, discriminant, and criterion validity were all evaluated. Reliability was assessed using Cronbach’s α. SPSS 25.0 and the data were analyzed using AMOS 26.0 software.
Results
The SECD-6-K consists of six items in two domains: disease management and health behavior. The results for construct, convergent, and discriminant validity were good. Exploratory factor analysis produced eigen values between 2.27 and 3.28, with factors total explained cumulative variance of 91.1%. Confirmatory factor analysis supported goodness of fit and reliability for the modified SECD-6-K model. The criterion validity also showed significant correlation with both the Patient Health Questionnaire and 12-item Short-Form Health Survey version 2. Finally, reliability was found to be excellent.
Conclusion
This study identified the high reliability and validity of SECD-6-K. The SECD-6-K is an appropriate tool for determining Korean patients’ self-efficacy in managing their chronic conditions. Therefore, this scale may be used in clinical settings as well as in educational and research settings.

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Generic instruments for assessing self-management abilities and behaviors in patients with chronic diseases: a COnsensus-based standards for the selection of health measurement INstruments (COSMIN)-based systematic review
Ke Liu, Guangyan Meng, Caixia Li, Shuyi Wang, Xianwen Fan, Qirong Chen
Quality of Life Research.2026;[Epub] CrossRef
Path Analysis of Factors Influencing Health-Related Quality of Life for Community-Dwelling Vulnerable Older Adults with Chronic Diseases in Korea
Hyun-Ju Lee
Research in Community and Public Health Nursing.2025; 36: 315. CrossRef
Development of a self-care scale for women with polycystic ovary syndrome: a methodological approach
Miok Kim
Frontiers in Public Health.2025;[Epub] CrossRef
Development and Validation of the Short Form of Core Competencies Scale of Nursing Care for Cancer Patients Undergoing Chemotherapy
Sung Hae Kim, Seyong Lee, Sang Hee Kim, Jung Ok Choi, Gie Ok Noh
Asian Oncology Nursing.2024; 24(4): 184. CrossRef
Factors influencing self-management behaviors in older people with multiple chronic conditions based on the individual and family self-management theory: A cross-sectional study
Youngji Seo, Sunyoung Jung
Journal of Korean Gerontological Nursing.2024; 26(3): 332. CrossRef
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Validity and Reliability of the Korean Version of Person-Centered Practice Inventory–Staff for Nurses: Sohyun Kim, Sunghee H Tak; J Korean Acad Nurs 2021;51(3):363-379. Published online June 30, 2021; DOI: https://doi.org/10.4040/jkan.21027

Abstract PDF

Purpose
The purpose of this study was to evaluate the validity and reliability of the Korean version of Person-Centered Practice Inventory– Staff (PCPI-S) for nurses.
Methods
The English PCPI-S was translated into Korean with forward and backward translation. Data were collected from 338 nurses at one general hospital in Korea. Construct validity was evaluated with confirmatory factor analysis, convergent validity, and discriminant validity. Known-group validity was also evaluated. Cronbach’s α was used to assess the reliability.
Results
The PCPI-S Korean version consisted of 51 items in three areas: prerequisites, the care environment, and person-centered process. The comparative fit index (CFI) and values of person-centered care process were improved after engagement and having sympathetic presence items were combined as one component. The construct validity of PCPI-S Korean version was verified using four-factor structures (.05 < RMSEA < .10, AGFI > .70, CFI > .70, and AIC). The convergent validity and discriminant validity of the entire PCPI-S question were verified using a two-factor structures (AVE > .50, construct reliability > .70). There was an acceptable known-group validity with a significant correlation between the PCPI-S level and the degree of person-centered care awareness and education. Internal consistency was reliable with Cronbach’s α .95.
Conclusion
The Korean version of PCPI-S is valid and reliable. It can be used as a standardized Korean version of person-centered care measurement tool. Abbreviation: RMSEA = root mean square error of approximation; AGFI = adjusted goodness of fit index; AIC = Akaike information criterion; AVE = average variance extracted.

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Nada Alqarawi, Eman Alhalal, Ibrahim Alasqah
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Psychometric validation and cultural adaptation of the family-centered care Questionnaire-Revised for use among nurses in Saudi Arabia
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Adaptación transcultural y validación del Person-centred Practice Inventory-Staff para la cultura brasileña
Juliana Andrioli Nucci, Edinêis de Brito Guirardello, Ariane Polidoro Dini
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Cross-cultural adaptation and validation of the Person-centered Practice Inventory-Staff for Brazilian culture
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Development of a Positive Nursing Organizational Culture Measurement Tool: Mi Jung Kim, Jong Kyung Kim; J Korean Acad Nurs 2021;51(3):305-319. Published online June 30, 2021; DOI: https://doi.org/10.4040/jkan.21014

Abstract PDF

Purpose
The purpose of this study was to develop a measurement tool for a positive nursing organizational culture and to verify its reliability and validity.
Methods
A conceptual framework and construct factors were extracted through an extensive literature review and indepth interviews with nurses. The final version of the preliminary tool for the main survey was confirmed by experts through a content validity test and a preliminary survey of 40 nurses. Subsequently, the final tool was developed using a validity and reliability test containing 43 preliminary items. The final version of the tool was used with 327 hospital nurses in the testing phase for the main survey to assess validity and reliability.
Results
From the factor analysis, 4 factors and 26 items were selected. The factors were positive leadership of the nursing unit manager, pursuit of common values, formation of organizational relationships based on trust, and a fair management system. The entire determination coefficient was 67.7%. These factors were verified through convergent, discriminant, and concurrent validity testing. The internal consistency reliability was acceptable (Cronbach’s α = .95).
Conclusion
Both the validity and reliability of the scale were confirmed demonstrating its utility for measuring positive nursing organizational culture. It is expected to be used for education, research, and practical performance policies regarding the nursing organizational culture.

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Original Articles

Development of a Coping Scale for Infertility-Women (CSI-W): Miok Kim, Jung-Mi Ko; J Korean Acad Nurs 2020;50(5):671-685. Published online October 31, 2020; DOI: https://doi.org/10.4040/jkan.20038

Abstract PDF

Purpose
The purpose of this study was to develop a Coping Scale for Infertility-Women (CSI-W).
Methods
The initial items were based on an extensive literature review and in-depth interviews with seven infertile women. Forty-three items were derived from a pilot survey. Data were collected from 216 women who had experienced intrauterine insemination (IUI) and in-vitro fertilization (IVF) more than once. The data were analyzed to verify the reliability and validity of the scale.
Results
Seven factors containing 28 items (four factors containing 17 items for active coping and three factors containing 11 items for passive coping) were extracted from the exploratory factor analysis to verify the construct validity. The four factors of active coping were confrontation, self-control, seeking social support (spouse), and seeking social support (colleagues and experts). The three factors of passive coping were distancing, escape, and avoidance. These items were verified through convergent, discriminant, and concurrent validity testing. The internal consistency reliability was acceptable (active coping: Cronbach’s a = .78; passive coping: Cronbach’s a = .81).
Conclusion
As its validity and reliability have been verified through various methods, the CSI-W can contribute to assessing the coping strategies of infertile women.

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Factors Influencing the Intention for Continual Fertility Treatments by the Women Undergoing Assisted Reproductive Technology Procedures: A Cross-Sectional Study
Miok Kim, Minkyung Kim, Minkyung Ban
Journal of Korean Academy of Nursing.2024; 54(1): 59. CrossRef
Design and psychometric evaluation of the collaborative coping with infertility questionnaire in candidate of assisted reproductive techniques
Marzie Reisi, Ashraf Kazemi
Scientific Reports.2024;[Epub] CrossRef
Types and Characteristics of Stress Coping in Women Undergoing Infertility Treatment in Korea
Yumi Choi, So-Hyun Moon
International Journal of Environmental Research and Public Health.2023; 20(3): 2648. CrossRef

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Validity and Reliability of the Korean Version of the Menopause-Specific Quality of Life: Jin-Hee Park, Sun Hyoung Bae, Young-Mi Jung; J Korean Acad Nurs 2020;50(3):487-500. Published online June 30, 2020; DOI: https://doi.org/10.4040/jkan.20049

Abstract PDF

Purpose
This study aimed to evaluate the validity and reliability of the Korean version of Menopause-Specific Quality of Life (MENQOL).
Methods
The MENQOL was translated into Korean according to algorithm of linguistic validation process. A total of 308 menopausal womenwere recruited and assessed using the Korean version of MENQOL (MENQOL-K), the World Health Organization Quality of Life BriefVersion (WHOQOL-BREF), and Center for Epidemiological Studies Depression Scale (CES-D-K). In estimating reliability, internal consistencyreliability coefficients were calculated. Validity was evaluated through criterion validity and construct validity with confirmatory factor analysesusing SPSS 23.0 and AMOS 25.0 software.
Results
In item analyses, the “increased facial hair” symptom was excluded because of thelow contribution of MENQOL-K. The confirmatory factor analysis supported good fit and reliable scores for MENQOL-K model, and thefour-factor structure was validated (x²=553.28, p <.001, NC=1.84, RMSEA=.05, AGIF=.85, AIC=765.28). The MENQOL-K consists of 28 itemsin 4 domains, including vasomotor (3 items), psychosocial (7 items), physical (15 items), and sexual subscales (3 items). There was an acceptablecriterion validity with moderately significant correlation between MENQOL-K and WHOQOL-BREF. The Cronbach’s a for the 4subsacles ranged from .80 to .93.
Conclusion
The MENQOL-K is a valid and reliable scale to measure condition-specific quality of life forperimenopausal and postmenopausal women. It can be used to assess the impact of menopausal symptoms on the quality of life of Koreanwomen in clinical trials.

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Ria Kwon, Yoosoo Chang, Yoonyoung Jang, Ga‐young Lim, Yoo‐Jung Kim, Seungho Ryu
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Development of Job-Esteem Scale for Korean Nurses: Hyun Ju Choi, Kwuy Im Jung; J Korean Acad Nurs 2020;50(3):444-458. Published online June 30, 2020; DOI: https://doi.org/10.4040/jkan.19209

Abstract PDF

Purpose
The purpose of this study was to develop the Job Esteem Scale for Korean Nurses (JES-KN) and verify its validity and reliability.
Methods
Preliminary items were based on the attributes and indicators elicited from a concept analysis study on Korean nurses’ job-esteem.The final preliminary tool for the main survey was confirmed through the content validity test of 10 experts and preliminary surveyof 20 hospital nurses. The final preliminary scale was used on 350 hospital nurses in the scale testing phase for the main survey designedto test the validity and reliability of the scale.
Results
The final scale consisted of 28 items and 6 factors, these factor explained 66.6% ofthe total variance. The correlation between the total score and factors ranged from .64 and .84, validating that each sub-factor is suitableto explain job esteem. The correlation coefficient between this scale and the Job Satisfaction Scale for Clinical Nurses ranged from .41 to.70, and the internal consistency for the scale using Cronbach’s a for the total items was .94.
Conclusion
The JES-KN is a valid and reliabletool that reflects the reality of clinical sites accordingly. The JES-KN may well be used effectively to assess and evaluate the job esteem ofKorean nurses.

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Development of a Scale for Alcohol Drinking Prevention Behavior in Early Elementary School Based on Ajzen’s Theory of Planned Behavior: Younkyoung Kim, Chong Mi Lee, Seo Young Kang; J Korean Acad Nurs 2020;50(2):210-227. Published online April 30, 2020; DOI: https://doi.org/10.4040/jkan.2020.50.2.210

Abstract PDF

Purpose
This study aimed to develop a scale to measure variables related to alcohol drinking prevention behavior in early elementary school, based on the theory of planned behavior.
Methods
A scale was developed to measure variables related to alcohol drinking prevention behavior. Initial items for direct evaluation were constructed through a literature review, and those for belief-based indirect measure were generated through interviews with 30 second- and third-grade elementary school students. The collected data from 286 third-grade elementary school students were then subjected to item analysis, exploratory and confirmative factor analysis, criterion-related validity testing, and internal consistency assessment.
Results
The final scale consisted of 35 items. Intention, attitudes, subjective norms, and perceived behavioral control explained 82.7% of the variance; behavioral beliefs, normative beliefs, and control beliefs explained 65.6% of the variance; and evaluation of outcome, motivation to comply, and power of control beliefs explained 72.8% of the variance. The confirmatory factor analysis indicated that the theoretical models had a satisfactory goodness of fit. Criterion-related validity was confirmed between the direct evaluation variables and the indirect measure variables (attitudes r=.64, p <.001; subjective norms r=.39, p <.001; perceived behavioral control r=.62, p <.001). Cronbach’s a was .89 for the direct evaluation variables and .93 for the indirect measure variables.
Conclusion
The scale developed in this study is valid and reliable. It could be used to measure and explain variables related to alcohol drinking prevention behavior in early elementary school.

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Younkyoung Kim, Chong Mi Lee, Seo Young Kang, Hyunju Yang
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Development and Validation of the New Version of Spirituality Assessment Scale: Il-Sun Ko, Soyoung Choi, Jin Sook Kim; J Korean Acad Nurs 2020;50(1):132-146. Published online January 31, 2020; DOI: https://doi.org/10.4040/jkan.2020.50.1.132

Abstract PDF

Abstract Purpose:

The purpose of this study was to develop a new version of Spirituality Assessment Scale (N-SAS) and verify its reliability and validity.

Methods:

The total of 59 preliminary items for the N-SAS were selected through a literature review, two rounds of experts’ content validation, cognitive interviews, and pre-tests. Verification of its reliability and validity was divided into two phases. In Phase I, questionnaires were collected from 219 adults. Reliability was tested using Cronbach’s alpha, validity with item analysis, and exploratory factor analysis. In Phase II, questionnaires developed based on the results of Phase I were collected from 225 adults. Reliability was tested using Cronbach’s alpha, validity with confirmatory factor analysis, and criterion validity.

Results:

The final version of the N-SAS comprised two dimensions (vertical and horizontal), four domains (relationship with God; meaning of life and self-integration; self-transcendence; and relationship with others, neighborhoods, and nature), and 44 items were identified. Total Cronbach’s α was .97; those of each subscale ranged from .79 to .98. N-SAS scores were positively correlated with the scores of Howden’s Spiritual Assessment Scale (r=.81, p<.001).

Conclusion

Findings suggest that the N-SAS can be used to measure spirituality in adults. The use of N-SAS is expected to facilitate perceiving patient’s spiritual needs and providing spiritual care.

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Jinsook Kim
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Validity and Reliability of the Korean Versions of the Duke University Religion Index (K-DUREL) and the Daily Spiritual Experience Scale (K-DSES)
Suk-Sun Kim, Daeun Kim, Nan Young Moon, Ahyoung Seo, Minji Gil
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Development of the Patient Caring Communication Scale: Myoung Lyun Heo, Sook Bin Im; J Korean Acad Nurs 2019;49(1):80-91. Published online February 28, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.1.80

Abstract PDF

Purpose

This study attempted to develop a scale that measures the level of patients' recognition of the nurses' care, based on Watson's caring theory, and confirmed its reliability and validity.

Methods

The items were developed through a literature review and an expert content validity test. The questionnaires were administered to 285 inpatients of internal medicine and surgical units at two general hospitals. Construct validity was tested using exploratory and confirmatory factor analysis, and reliability was tested using Cronbach's alpha.

Results

This process resulted in a preliminary scale composed of 34 items; We used item analysis and five exploratory factor analyses, and consequently selected 14 items composed of three factors (respect, genuineness, and relationality). The confirmatory factor analysis verified the model fit and convergent and discriminant validity of the final items; criterion validity was confirmed with the positive correlation with the measurement scale of the patient-perceived quality of nursing . The overall scale reliability had a Cronbach's alpha of .92, which indicated internal consistency and reliability.

Conclusion

The developed scale showed content, construct, and criterion validity, and reliability, as well as convergent validity for each item and discriminant validity between the factors. This makes it suitable for use in a diverse range of future studies on nurse communication using structural equation models.

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Won Hee Jun
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Soolgi Han, Jinhee Yoo, Kyonghwa Kang
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A structural model of nursing students’ performing communication skills
Cho Rong Gil, Kyung Mi Sung
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Nurse’s Evaluation on Health Education in Portuguese Pediatric Hospitals and Primary Care for Children/Young and Parents
Anabela Fonseca Pereira, Joaquim Escola, Vitor Rodrigues, Carlos Almeida
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Development of the Korean Geriatric Loneliness Scale (KGLS): Si Eun Lee; J Korean Acad Nurs 2019;49(5):643-654. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.643

Abstract PDF

Abstract Purpose

The purpose of this study was to develop and psychometrically test the Korean Geriatric Loneliness Scale (KGLS).

Methods

The initial items were based on in-depth interviews with 10 older adults. Psychometric testing was then conducted with 322 community-dwelling older adults aged 65 or older. Content, construct, and criterion-related validity, classification in cutoff point, internal consistency reliability, and test-retest reliability were used for the analysis.

Results

Exploratory factor analysis showed three factors, including 15 items explaining 91.6% of the total variance. The three distinct factors were loneliness associated with family relationships (34.3%), social loneliness (32.4%), and a lack of belonging (24.9%). As a result of confirmatory factor analysis, 14 items in the three-factor structure were validated. Receiver operating characteristic analysis demonstrated that the KGLS’ cutoff point of 32 was associated with a sensitivity of 71.0%, specificity of 80.2%, and area under the curve of .83. Reliability, as verified by the test-retest intraclass correlation coefficient, was .89, and Cronbach's α was .90.

Conclusion

As its validity and reliability have been verified through various methods, the KGLS can contribute to assessing loneliness in South Korean older adults.

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Impact of Frailty, Depression, and Loneliness on Ego-Integrity in Community-Dwelling Elderly
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Development of a Triage Competency Scale for Emergency Nurses: Sun Hee Moon, Yeon Hwan Park; J Korean Acad Nurs 2018;48(3):362-374. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.3.362

Abstract PDF

Abstract Purpose

This study aimed to develop a triage competency scale (TCS) for emergency nurses, and to evaluate its validity and reliability.

Methods

Preliminary items were derived based on the attributes and indicators elicited from a concept analysis study on triage competency. Ten experts assessed whether the preliminary items belonged to the construct factor and determined the appropriateness of each item. A revised questionnaire was administered to 250 nurses in 18 emergency departments to evaluate the reliability and validity of the scale. Data analysis comprised item analysis, confirmatory factor analysis, contrasted group validity, and criterion-related validity, including criterion-related validity of the problem solving method using video scenarios.

Results

The item analysis and confirmatory factor analysis yielded 5 factors with 30 items; the fit index of the derived model was good (χ ²/df =2.46, Root Mean squared Residual=.04, Root Mean Squared Error of Approximation=.08). Additionally, contrasted group validity was assessed. Participants were classified as novice, advanced beginner, competent, and proficient, and significant differences were observed in the mean score for each group (F=6.02, p=.001). With reference to criterion-related validity, there was a positive correlation between scores on the TCS and the Clinical Decision Making in Nursing Scale (r=.48, p<.001). Further, the total score on the problem solving method using video scenarios was positively correlated with the TCS score (r=.13, p=.04). The Cronbach's α of the final model was .91.

Conclusion

Our TCS is useful for the objective assessment of triage competency among emergency nurses and the evaluation of triage education programs.

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Development and Validation of a Measurement to Assess Person-centered Critical Care Nursing: Jiyeon Kang, Young Shin Cho, Yeon Jin Jeong, Soo Gyeong Kim, Seonyoung Yun, Miyoung Shim; J Korean Acad Nurs 2018;48(3):323-334. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.3.323

Abstract PDF

Abstract Purpose

The purpose of this study was to develop a scale to measure person-centered critical care nursing and verify its reliability and validity.

Methods

A total of 38 preliminary items on person-centered critical care nursing were selected using content validity analysis of and expert opinion on 72 candidate items derived through literature review and qualitative interviews. We conducted a questionnaire survey with 477 nurses who worked in intensive care units. The collected data were analyzed using exploratory factor analysis (EFA) and confirmative factor analysis (CFA) with SPSS and AMOS 24.0 program.

Results

EFA was performed with principal axis factor analysis and Varimax rotation. The 15 items in 4 factors that accounted for 50.8% of the total variance were identified by deleting the items that were not meet the condition that the commonality should be .30 or more and the factor loading over .40. We named the factors as compassion, individuality, respect, and comfort, respectively. The correlation coefficient between this scale and the Caring Perception Scale was r=.57 (p<.001), which determined concurrent validity. The item-total correlation values ranged from .39 to .63, and the internal consistency for the scale was Cronbach's α=.84.

Conclusion

The reliability and validity of the 15 item person-centered critical care nursing scale were verified. It is expected that the use of this scale would expand person-centered care in critical care nursing.

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Development of an Instrument to Assess the Quality of Childbirth Care from the Mother's Perspective: Geum Hee Jeong, Hyun Kyoung Kim, Young Hee Kim, Sun-Hee Kim, Sun Hee Lee, Kyung Won Kim; J Korean Acad Nurs 2018;48(1):38-49. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.1.38

Abstract PDF

Abstract Purpose

This study aimed to develop an instrument to assess the quality of childbirth care from the perspective of a mother after delivery.

Methods

The instrument was developed from a literature review, interviews, and item validation. Thirty-eight items were compiled for the instrument. The data for validity and reliability testing were collected using a questionnaire survey conducted on 270 women who had undergone normal vaginal delivery in Korea and analyzed with descriptive statistics, exploratory factor analysis, and reliability coefficients.

Results

The exploratory factor analysis reduced the number of items in the instrument to 28 items that were factored into four subscales: family-centered care, personal care, emotional empowerment, and information provision. With respect to convergence validation, there was positive correlation between this instrument and birth satisfaction scale (r=.34, p<.001). The internal consistency reliability was acceptable (Cronbach's alpha =.96).

Conclusion

This instrument could be used as a measure of the quality of nursing care for women who have a normal vaginal delivery.

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Geumhee Jeong, Hyun Kyoung Kim, Uri Bang
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A Study on the Verification of the Profile of Seo's Elderly Stress Scale (SESS): Hyun Mi Seo, Su Jeong Yu, Yang Sook Hah; Journal of Korean Academy of Nursing 2001;31(1):94-106. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.1.94

Abstract PDF

The purpose of this study was to verify the use of Seo's Elderly Stress Scale (SESS), which was developed in 1996. Through the modified tool, it is possible to examine the stress of Korean elders and to contribute to the welfare of them. The subjects were 350 elders over 65 years old who live in Seoul, Kwang-Ju, Yang-Ju Gun Kyung-ki Do, Ui-Jong Bu, and Young-Am Kun, Jeun-Ra Nam Do. the data of 331 elders (94%) were analyzed. Data were collected between January and March in 1996 and analyzed using the SPSS Win 8.0. The result are as follows: 1. Items with low correlation with the total items were removed. So 27 items were removed and 37 items remained. This 37 items were death in the family and/or close friends, family member's behavior not meeting expectations, marriage of daughter, marriage of son, friction with daughter- in-law, argument among children, children refuse to live with parent, children leaving home, sex injury or accident, in frequest visits from children and grandchildren, providing care for your daughter or daughter-in-law post-partum, decrease in decision making and authority in home, Lunar new year and the harvest featival, house sitting, working in the house, performing a sacrificial rite, missed birthday, not living with the eldest son, decreased eyesight, decreased strength, decreased memory, sleep pattern changes, thoughts about death, loneliness, decreased hearing, change of dental condition, change in your diet or eating style, difficulty in self care, moving because of disease or aging, argument with friend or neighbour, travel, dealing with the procedure of heritage, loss of money or property, not enough pocket money, hearing on elderly neglect in television or radio, hope of going home and ignorant from others. 2. Overlapped items were discussed by colleagues and were modified. 'marriage of daughter' and 'marriage of son' were modified in 'marriage of children'. 'self injury or accidents' and 'family accidents' were modified in to self or family accidents. 3. Factor analysis was done in order to identify validity and three factors were obtained from the result. The first factor familial relation area, included 17 items. The second factor, physical area, included 9 items. The third factor, psycho-socio-economic area, included 9 items. Cronbach coefficient alpha for the 35 items was .923. 4. Pearson's correlation was .704 between SESS and SOS (Symptoms of Stress) in order to confirm construct validity. Based on the result, the following is suggested; 1. The modified SESS needs to be reverified with elder. 2. Korean elder's health promotion can be made by development of stress intervention which was accurately measured with SESS.

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The Reliability and Validity Test of psychosocial Well-being Index(PWI): Jeong Hee Kim; Journal of Korean Academy of Nursing 1999;29(2):304-313. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.2.304

Abstract PDF

The purpose of this study is to test the reliability and validity test of PWI to utility of PWI, this newly developed by Sejin Jang which measures stress. The subject were 186 workers in service area. Cronbach's alpha and Guttman split-half coefficient is used to test the reliability of PWI. Factor analysis and the correlation of the GHQ-60, GHQ-30, GHQ-28, GHQ-20, and GHQ-12 with the PWI is used to convergent validity and discriminant validity. The important results of this study are as follows : Cronbach's alpha coefficient of data was 0.894 and Guttman split-half coefficient was 0.7097. The PWI was classified as 13 principle component(eigenvalue>1.0). After exploring 4 factor structure according to previous study result, 4 factors was explained 40.5% out of the total variance. The factor 1 was explained 15.9% and then the rest three factor was 24.6%. Factor 2 and 4 showed good agreement but factor 1 and 3 did not. Depression-related items were classified two factors. Anxiety and depression-related items were loaded unifactor. It was not clear that the PWI was consist of 4 concepts(factors). The correlation of the GHQ-60, GHQ-30, GHQ-28, GHQ-20, and GHQ-12 with the PWI were 0.744~0.905. According to findings of this study, the PWI showed a high degree of validity and reliability. Thus it is recommended to use the PWI in general setting for screening for stress. In addition, it is necessary to clarify the concept of depression and anxiety. In the further study, it may be considered to the factor structure of PWI and studied to two or unidimensional factor structure.

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Developing an Instrument to Measure Climacteric Symptoms among Korean and Japanese Women: AeRi Song, Kazuyo Oishi, Euy Hoon Suh, Harumi Miyahara, Hisayoshi Nakajima, Yuko Nakao, Miyuki Araki, Makiko Yamasaki; Journal of Korean Academy of Nursing 2006;36(4):637-644. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.4.637

Abstract PDF: Purpose
The purpose of this study was to construct a measurement instrument for climacteric symptoms among Korean and Japanese women.
Methods
From Dec. 1^st of 2003 to March 30^th of 2004, in-depth interviews were made with 26 women (15 in Jinju, Korea and 11 in Nagasaki, Japan) aged from 45 to 59 years who had not taken hormone replacement therapy to relieve the climacteric symptoms. A draft questionnaire with 45 items was constructed on the basis of the interview data and literature review. Three obstetricians, three PhDs in nursing science, and a chief nurse who was exclusively in charge of the climacteric management, examined the draft questionnaire to evaluate content validity. After deletions 39 items remained for a preliminary questionnaire. A survey was conducted by using a convenient sampling method in Jinju of Korea and Nagasaki of Japan during the period from April 1^st, 2004 to July 10^th, 2005.
Results
Factor analysis identified 4 factors, which were “mental and psychological symptoms”, “physical symp-toms”, “loss of autonomic nervous system symptoms”, “sexual symptoms”. These four factors explained 46.9% of total variance.
Conclusions
The results demonstrated that climacteric symptom scale was multidimensional, and the reliability and validity of the scale was supported.

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Attitudes toward the Elderly among Nursing Students in Korea: Jung Hee Kim, Gwi Ryung Son, Donna L. Algase; Journal of Korean Academy of Nursing 2004;34(8):1499-1508. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.8.1499

Abstract PDF

Purpose

The primary purpose of this study was to reexamine underlying dimensions of attitudes toward the elderly held by undergraduate nursing students. A secondary purpose was to investigate characteristics of nursing students associated with attitudes toward elders.

Methods

A survey was performed using self-report questionnaire completed by nursing students from a total of 10 nursing schools or departments each selected randomly from one province of Korea. Students' responses (N=366) were analyzed using factor analysis, correlation coefficients, t-test, and ANOVA.

Results

Three attitudinal dimensions explaining 35.29% of the variance were extracted: vitality, generosity and flexibility. From a neutral point of 4.0 in the range of 1 to 7, only generosity (4.47) was evaluated positively, whereas vitality (3.31) and flexibility (2.91) were evaluated negatively. The mean scores of the vitality and generosity dimensions were significantly different by students' level of communication with the elderly, experience living with the elderly, and interest in elders or in issues related to elders. Interest in elders/elder issues was the only characteristic affecting significant mean score difference in flexibility.

Conclusion

Educational process should increase students' exposure to healthy elderly to modify negative attitudes toward the elderly among nursing students.

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Anton Rahardjo, Fakhira Hanna Safira Firdaus, Peter Andreas, Yuniardini Septorini Wimardhani, Diah Ayu Maharani
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Zuoyan Liu, Lihui Pu, Heng Wang, Xiuying Hu
Asian Biomedicine.2014; 8(5): 615. CrossRef

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Development of a Scale to Measure Self-Care for Korean Patients with Chronic Obstructive Pulmonary Disease: Jeong Ja Jun, Ae Kyung Kim, Sang Ok Choi, Jung Hee Ae, Mi Kyung Choi, Sun A Jang; Journal of Korean Academy of Nursing 2003;33(1):9-16. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.1.9

Purpose

The objective of this study was the development and validation of a scale to measure the self-care of patients with chronic obstructive pulmonary disease(COPD) in Korea.

Method

Self-care scale was developed based on the self-care activities patients had to carry out in order to manage their COPD. The original scale contained 34 items rated along a five-point Likert scale and was reviewed by 18 professional nurses and 10 Korean patients with COPD for content validity. Subsequently, patients with COPD were asked to complete this 23-item scale and further tests were done with the 125 useable responses.

Result

Factor analysis identified eight factors- “maintaining a clean air way”, “taking medication”, “support from family”, “preventing infection”, “managing symptoms”, “breathing exercising”, and “taking in nutrition”. The internal consistency of the total scale was Cronbach's alpha=0.7226. These eight factors explained 60.8% of total variance. There was correlation among Korean Self-Care Scale score, administration level, and knowledge level but there was no correlation to patients' satisfaction with medical services.

Conclusion

The 23 item questionnaire positively identified 8 areas defined important for COPD patients. Further studies are required to see how these can be integrated into patient education.

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Ja Yun Choi, Eui Jeong Ryu, Xin Jin
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Ja Yun Choi, So Young Yun
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Kyeung Eun Lim, Sung Reul Kim, Hye Young Kim, So Ri Kim, Yong Chul Lee
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Development of the Meaning in Life Scale for Older Adults: Si Eun Lee, Gwi-Ryung Son Hong; J Korean Acad Nurs 2017;47(1):86-96. Published online February 28, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.1.86

Abstract PDF

Purpose

The purpose of this study was to develop and test the psychometric properties of the newly developed instrument, Meaning in Life, for elderly Korean people.

Methods

Ten older adults participated in the qualitative research used to develop the initial items. Participants for the psychometric testing were 371 community-dwelling older adults. Validity and reliability analyses included content, construct, and criterion-related validities, internal consistency, and test-retest reliability.

Results

The Meaning in Life Scale consisted of 12 items with three distinct factors; value of life, source of life, and will to live, which explained 86.7% of the total variance. A three-factor structure was validated by confirmatory factor analysis. Criterion-related validity was supported by comparison with the Purpose in Life Test (r=.74). Reliabilities were secured with test-retest reliability of Intra-class Correlation Coefficient (ICC) .85 and the Cronbach's alpha coefficient .90.

Conclusion

The results of this study indicate that this instrument is useful to measure meaning in life in Korean elders.

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Eun Jin Koh, Jong Min Lee, Dong Hui Lim, Danbee Kang, Juhee Cho, Min Kyung Song, In Kwon Chung, Hun Jin Choi, Ji Woong Chang, Jong Hyun Lee, Tae Young Chung, Young Sub Eom, Yeoun Sook Chun, So Hyang Chung, Eun Chul Kim, Joon Young Hyon, Do Hyung Lee
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Development of the Transition Shock Scale for Newly Graduated Nurses: Eun-Young Kim, Jung Hee Yeo, Kyeong Im Yi; J Korean Acad Nurs 2017;47(5):589-599. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.5.589

Abstract PDF

Abstract Purpose

The purpose of this study was to develop a scale to assess the transition shock experienced by newly graduated nurses, and test the validity and reliability of the scale.

Methods

The initial items were identified through a review of literature and in-depth interviews with nine newly graduated nurses. Content validation of the items was evaluated by five nurse professors and three nurses. Participants were 269 newly graduated nurses who worked at six acute care hospitals in Busan, Ulsan, and Yangsan, South Korea. Data were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion related validity, and internal consistency.

Results

The final scale consisted of 18 items and six factors (conflict between theory and practice, overwhelming workload, loss of social support, shrinking relationship with co-workers, confusion in professional nursing values, and incongruity in work and personal life), which explained 71.3% of the total variance. The six subscale model was validated by confirmatory factor analysis. Cronbach's alpha for the total items was. 89. Convergent validity was evaluated by analyzing total correlation with burnout (r=.71, p<.001) and turnover intention (t=5.84, p<.001).

Conclusion

This scale can be used in the development of nursing interventions to reduce the transition shock experienced by newly graduated nurses.

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Validity and Reliability of ARQ-K (Korean Version of the Assault Response Questionnaire) for Emergency Department Nurses in Korea: Moon Jung Jang, Eun Nam Lee; J Korean Acad Nurs 2015;45(4):544-553. Published online August 31, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.4.544

Abstract PDF

Purpose

To investigate the validity and reliability of the Korean Version of the Assault Response Questionnaire (ARQ-K) measuring the intensity of reaction to victimization of emergency nurses in Korea.

Methods

An internal consistency reliability and construct validity using exploratory and confirmatory factor analysis were conducted using SPSS WIN (20.0) and AMOS (20.0). Survey data were collected from 321 nurses who worked in 3 levels - wide regional emergency centers, regional emergency centers, appointed emergency centers - of emergency care facilities in Busan, Korea.

Results

The Cronbach's alpha values regarding internal consistency were .77~.93 for the subscales of ARQ-K. Factor loadings of the 26 items on the four subscales ranged from .59 to .84. The four-subscale model was validated by confirmatory factor analysis (χ²/df=3.85, p < .001, RMR=.06, GFI=.80, NFI=.81, TLI=.83, CFI=.85, RMSEA=.09).

Conclusion

This study shows that the Korean Version of the Assault Response Questionnaire is a valid and reliable instrument to assess nurses' reaction to victimization of emergency nurses in Korea.

Citations

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A Guide on the Use of Factor Analysis in the Assessment of Construct Validity: Hyuncheol Kang; J Korean Acad Nurs 2013;43(5):587-594. Published online October 31, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.5.587

Abstract PDF

Purpose

The purpose of this study is to provide researchers with a simplified approach to undertaking exploratory factor analysis for the assessment of construct validity.

Methods

All articles published in 2010, 2011, and 2012 in Journal of Korean Academy of Nursing were reviewed and other relevant books and articles were chosen for the review.

Results

In this paper, the following were discussed: preliminary analysis process of exploratory factor analysis to examine the sample size, distribution of measured variables, correlation coefficient, and results of KMO measure and Bartlett's test of sphericity. In addition, other areas to be considered in using factor analysis are discussed, including determination of the number of factors, the choice of rotation method or extraction method of the factor structure, and the interpretation of the factor loadings and explained variance.

Conclusion

Content validity is the degree to which elements of an assessment instrument are relevant to and representative of the targeted construct for a particular assessment purpose. This measurement is difficult and challenging and takes a lot of time. Factor analysis is considered one of the strongest approaches to establishing construct validity and is the most commonly used method for establishing construct validity measured by an instrument.

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Accessing Factor Structure and Construct Validity of the Successful Aging Inventory: Eun Joo Kim; J Korean Acad Nurs 2013;43(4):568-578. Published online August 30, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.4.568

Abstract PDF

Purpose

The purpose of this study was to evaluate the reliability and validity of the Korean version of the Successful Aging Inventory (SAI-K) to determine its suitability for use with older Korean adults.

Methods

Exploratory and confirmatory factor analyses were utilized to assess the factor structure and the construct validity of the SAI-K. First- and second-order Confirmatory Factor Analysis (CFA) were conducted to identify the most adequate model. Cronbach's alpha was used to test the reliability.

Results

Using a second-order CFA, a four-factor structure was validated (χ²=122.82, p<.001, GFI=.92, AGFI=.88, SRMR=.06 RMSEA=.07, 90% CI=.05-.09, CFI=.93). The four-factor SAI-K showed reliable internal consistency with a Cronbach's alpha for the total scale of .86.

Conclusion

The four-factor, 13-item SAI-K showed satisfactory reliability and validity and, thus, has the potential to be an appropriate instrument for measuring successful aging in older Korean adults.

Citations

Citations to this article as recorded by

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Development and Psychometric Evaluation of the Resuscitation Self-efficacy Scale for Nurses: Young Sook Roh, S. Barry Issenberg, Hyun Soo Chung, So Sun Kim; J Korean Acad Nurs 2012;42(7):1079-1086. Published online December 31, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.7.1079

Abstract PDF

Purpose

The purpose of this study was to develop and evaluate psychometric properties of the instrument, Resuscitation Self-Efficacy Scale for nurses.

Methods

This was a methodological study for instrument development and psychometric testing. The initial item pool derived from literature review and experts resulted in 30 items linked to resuscitation self-efficacy. A convenience sample of 509 Korean nurses from eleven academic teaching hospitals participated in a survey to examine psychometric properties of the scale. To examine construct validity, exploratory factor analysis and known-group comparison were used. Cronbach's coefficient alpha was used to determine the scale's internal consistency reliability.

Results

The final scale included 17 items with four-component structure termed 'Recognition', 'Debriefing and recording', 'Responding and rescuing', and 'Reporting'. These four factors accounted for 57.5% of the variance. Each subscale and the total scale demonstrated satisfactory internal consistency: .82; .88; .87; .83; and .91 respectively. Experienced nurses reported significantly higher self-efficacy mean scores in both total and subscales compared to new graduate nurses.

Conclusion

The Resuscitation Self-Efficacy Scale for nurses yields reliable and valid results in appraising the level of resuscitation self-efficacy for Korean nurses. Further study is needed to test and refine the scale.

Citations

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Construct Validity and Reliability of the Korean Version of the Practice Environment Scale of Nursing Work Index for Korean Nurses: Eunhee Cho, Mona Choi, Eun-Young Kim, Il Young Yoo, Nam-Ju Lee; J Korean Acad Nurs 2011;41(3):325-332. Published online June 13, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.3.325

Abstract PDF

Purpose

To develop and test the validity and reliability of the Korean version of PES-NWI measuring nursing work environments in hospitals.

Methods

The Korean version of the PES-NWI was developed through forward-backward translation techniques, and revision based on feedback from focus groups. An internal consistency reliability and construct validity using confirmatory factor analysis were conducted using SPSS WIN (16.0) and AMOS (18.0). Survey data were collected from 733 nurses who worked in three acute care hospitals in Seoul, South Korea.

Results

The Korean version of PES-NWI showed reliable internal consistency with a Cronbach's alpha for the total scale of .93. Factor loadings of the 29 items on the five subscales ranged from .28 to .85. The five subscales model was validated by confirmatory factor analysis (RMR<.05, CFI>.9).

Conclusion

The findings of this study demonstrate that the Korean version of PES-NWI has satisfactory construct validity and reliability to measure nursing work environments of hospitals in Korea.

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Validity and Reliability of the Korean Version of Person-Centered Practice Inventory-Staff for Nurses
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Validation of the Psychometric Properties of the Practice Environment Scale of Nursing Work Index in Primary Health Care in Portugal
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Association of work environment and resilience with transition shock in newly licensed nurses: A cross‐sectional study
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The Moderating Effect of Nursing Practice Environment on the Relationship between Clinical Nurses’ Sleep Quality and Wellness
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Association of Happiness and Nursing Work Environments with Job Crafting among Hospital Nurses in South Korea
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International Journal of Environmental Research and Public Health.2020; 17(11): 4042. CrossRef
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International Journal of Nursing Practice.2020;[Epub] CrossRef
Prediction Model for Nursing Work Outcome of Nurses: Focused on Positive Psychological Capital
Soon Neum Lee, Jung A Kim
Journal of Korean Academy of Nursing.2020; 50(1): 1. CrossRef
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Acta Paulista de Enfermagem.2020;[Epub] CrossRef
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Development and Validation Study of an Instrument to Measure Work Environment of Nurses in Nursing Homes
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Structural Equation Modeling on Clinical Decision Making Ability of Nurses
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